Eyeworld

by Title Heading Name title Contact Name: email 28 | EYEWORLD | SEPTEMBER 2021 ASCRS NEWS Other presentations in the session included one from Stephen Lane, MD, discussing business and industry re- lations. He noted that while many innovations have been incubated in labs, others originate in day-to-day practices by clinicians who have recognized an unmet need. Ideas are easy, he said, but translating them to action is the diffi- cult part. Dr. Lane said it is inspiring to see the talent of his colleagues in ophthalmology and physicians who recognize the unmet needs of patients and collaborate with industry to bring products forward to benefit patients. Vance Thompson, MD, gave the refractive presenta- tion. One of the things he highlighted was the importance of listening to patients, in addition to test results. He shared his "Bill of Sights:" 1. Ask every patient about eye rubbing and pillow diving. 2. Invest in modern day diagnostics. 3. Approach the diagnosis of dry eye as "guilty until proven innocent." 4. Educate patients on all of their non-surgical and surgical visual options. 5. Respect image quality and refractive endpoint. 6. Get to know the patient well enough to make the "If I were you" recommendation. 7. If you do their best option, do it well; if you don't do their best option, refer. 8. Do quality surgery. 9. Finish the refractive job you started with attention to both image quality and refractive goal. 10. Take care of your unhappy patients. The glaucoma presentation from Thomas Samuelson, MD, covered glaucoma in relation to cataract surgery. MIGS was born at the crossroads of cataract and glauco- ma surgery, he said, and it was here that Dr. Samuelson said that Dr. Lindstrom had profound influence on him as a young glaucoma surgeon. Dr. Samuelson was Dr. Lind- strom's first partner at Minnesota Eye Consultants 30 years ago. One tip that Dr. Samuelson offered was "to better help your glaucoma patients, master phaco," and he credited Dr. Lindstrom in helping him transition from the extracapsular surgery of his training to small incision phaco. Without the advances in cataract surgery, many of which Dr. Lindstrom helped pioneer, MIGS would not have happened, he said. Douglas Koch, MD, gave the cataract presentation, dis- cussing IOL calculations in 2021, progress, and limitations. Dr. Koch said there are several sources of error in calcula- tions today. He highlighted effective lens position (ELP). Ray tracing, he said, is ideally the best option because it incorporates all the aberrations, but it doesn't provide a unique solution to the ELP quandary. Outcomes are no bet- ter than other best formulas. Dr. Koch said that OCT can be used to measure eyes preoperatively and intraoperatively. But no studies have shown superior IOL calculation accura- cy, and ELP shifts postoperatively, he said. continued from page 26 CENTURION ® VISION SYSTEM IMPORTANT PRODUCT INFORMATION CAUTION: Federal (USA) law restricts this device to sale by, or on the order of, a physician. As part of a properly maintained surgical environment, it is recommended that a backup IOL injector be made available in the event the AutoSert ® IOL Injector Handpiece does not perform as expected. INDICATION: The CENTURION ® Vision System is indicated for emulsification, separation, irrigation, and aspiration of cataracts, residual cortical material and lens epithelial cells, vitreous aspiration and cutting associated with anterior vitrectomy, bipolar coagulation, and intraocular lens injection. The AutoSert ® IOL Injector Handpiece is intended to deliver qualified AcrySof ® intraocular lenses into the eye following cataract removal. The AutoSert ® IOL Injector Handpiece achieves the functionality of injection of intraocular lenses. The AutoSert ® IOL Injector Handpiece is indicated for use with the AcrySof ® lenses SN6OWF, SN6AD1, SN6AT3 through SN6AT9, as well as approved AcrySof ® lenses that are specifically indicated for use with this inserter, as indicated in the approved labeling of those lenses. WARNINGS: Appropriate use of CENTURION ® Vision System parameters and accessories is important for successful procedures. Use of low vacuum limits, low flow rates, low bottle heights, high power settings, extended power usage, power usage during occlusion conditions (beeping tones), failure to sufficiently aspirate viscoelastic prior to using power, excessively tight incisions, and combinations of the above actions may result in significant temperature increases at incision site and inside the eye, and lead to severe thermal eye tissue damage. Good clinical practice dictates the testing for adequate irrigation and aspiration flow prior to entering the eye. Ensure that tubings are not occluded or pinched during any phase of operation. The consumables used in conjunction with ALCON ® instrument products constitute a complete surgical system. Use of consumables and handpieces other than those manufactured by Alcon may affect system performance and create potential hazards. AEs/COMPLICATIONS: Inadvertent actuation of Prime or Tune while a handpiece is in the eye can create a hazardous condition that may result in patient injury. During any ultrasonic procedure, metal particles may result from inadvertent touching of the ultrasonic tip with a second instrument. Another potential source of metal particles resulting from any ultrasonic handpiece may be the result of ultrasonic energy causing micro abrasion of the ultrasonic tip. ATTENTION: Refer to the Directions for Use and Operator's Manual for a complete listing of indications, warnings, cautions and notes. © 2020 Alcon Inc. 07/20 US-INT-2000002

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